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CASE REPORT : FOR SPONTANEOUS ERUPTION GUIDANCE OF INVERTED MAXILLARY CENTRAL INCISOR TEETH (역위 매복된 상악 중절치의 자발적 맹출유도)

  • Choi, Sun-Ah;Lee, Nan-Young;Lee, Sang-Ho;Lee, Chang-Seop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.406-411
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    • 2004
  • Inverted Impaction of the permanent maxillary central incisor is rare. The causes of impaction are trauma and periapical inflammation of primary maxillary incisor teeth. Treatment options for a inverted incisor is extraction, surgery and orthodontic traction, transplantation, and spontaneous eruption guidance. Treatment depends on the incisor's root development and the space available for eruption. If root development is immature, prognosis would be good. We reported successful treatment for inverted maxially central incisor of proper eruption and normal root development by correction of a eruption route. But further observation will be required to evaluate the final root development state and amount of at tachment gingiva.

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Endodontic treatment of maxillary lateral incisors with anatomical variations

  • Lee, Moon-Hwan;Ha, Jung-Hong;Jin, Myoung-Uk;Kim, Young-Kyung;Kim, Sung-Kyo
    • Restorative Dentistry and Endodontics
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    • v.38 no.4
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    • pp.253-257
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    • 2013
  • Maxillary lateral incisors usually exhibit a single root with a single canal. However, maxillary lateral incisor teeth with unusual morphology of root canal system are frequently reported. These cases of variable root canal anatomy can be treated well by nonsurgical endodontic methods. A detailed description of root canal morphology is fundamental for successful endodontic treatment. Treatment using an operating microscope, radiographs from different angles, and cone-beam computerized tomography (CBCT) can produce more predictable endodontic outcomes.

Three-dimensional finite element analysis of the bracket positioning plane in lingual orthodontics (설측 브라켓 부착을 위한 기준평면 설정에 관한 3차원 유한요소법적 연구)

  • Kim, Sun-Hwa;Park, Soo-Byung;Yang, Hoon-Chul
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.30-44
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    • 2006
  • This study was performed to investigate the location of the ideal bracket positioning plane in lingual orthodontics using the three-dimensional finite element method. Displacement of the anterior teeth were evaluated according to the vertical and the angular movements of the bracket positioning plane. To achieve the ideal movement of anterior teeth in the lingual central plane, the location of the force application point and the amount of the moment applied to the four incisors were evaluated. As the bracket positioning plane was moved parallel toward the incisal edge, uncontrolled tipping and extrusion of the maxillary and the mandibular incisors were increased. But lingual tipping of the crown was decreased in the maxillary and the mandibular canines. As the bracket positioning plane was inclined toward the incisal edge, lingual tipping was increased in the 6 anterior teeth and extrusion of incisors and intrusion of the canine was also increased. As the retraction hook of the canine bracket was elongated, lingual tipping and extrusion of the central incisor and mesial movement and extrusion of the lateral incisor were increased. In the canine, mesial and labial movements of the crown were increased. When the moment was applied to the 4 incisors of the maxillary and the mandibular arch in the lingual central plane, 280 gf-mm in the maxillary central incisor, 500 gf-mm in the maxillary lateral incisor, 170 gf-mm in the mandibular central incisor and 370 gf-mm in the mandibular lateral incisor produced bodily movement of the individual tooth.

Incisor inclination indicator for anterior torque control during retraction in lingual orthodontic treatment (설측교정치료에 있어서 전치부 후방 견인시 토오크 조절을 위한 incisor inclination indicator)

  • Hong, Ryoon-Ki;Kim, Tae-Gun;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.34 no.6 s.107
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    • pp.544-554
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    • 2004
  • A device called incisor inclination indicator to control the axial inclinations of the incisors in the diagnostic setup is introduced. It is used to control the retraction of the maxillary and mandibular incisors. In this article, we describe the use of the incisor inclination indicator to prescribe adequate torque into the anterior lingual brackets and evaluate the results of treatment in a bimaxillary dentoalveolar protrusion case that underwent orthodontic treatment with the pretorqued anterior lingual brackets. Retraction of the maxillary and mandibular incisors was achieved with careful control of the axial inclination. It is indicated that the use of the incisor inclination indicator is an effective adjunctive laboratory procedure for anterior torque control during retraction in lingual orthodontic treatment.

External root resorption after orthodontic treatment: a study of contributing factors

  • Jung, Yun-Hoa;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.17-21
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    • 2011
  • Purpose : The purpose of this study was to examine the patient- and treatment-related etiologic factors of external root resorption. Materials and Methods : This study consisted of 163 patients who had completed orthodontic treatments and taken the pre- and post-treatment panoramic and lateral cephalometric radiographs. The length of tooth was measured from the tooth apex to the incisal edge or cusp tip on the panoramic radiograph. Overbite and overjet were measured from the pre- and post-treatment lateral cephalometric radiographs. The root resorption of each tooth and the factors of malocclusion were analyzed with an analysis of variance. A paired t test was performed to compare the mean amount of root resorption between male and female, between extraction and non-extraction cases, and between surgery and non-surgery groups. Correlation coefficients were measured to assess the relationship between the amount of root resorption and the age in which the orthodontic treatment started, the degree of changes in overbite and overjet, and the duration of treatment. Results : Maxillary central incisor was the most resorbed tooth, followed by the maxillary lateral incisor, the mandibular central incisor, and the mandibular lateral incisor. The history of tooth extraction was significantly associated with the root resorption. The duration of orthodontic treatment was positively correlated with the amount of root resorption. Conclusion : These findings show that orthodontic treatment should be carefully performed in patients who need the treatment for a long period and with a pre-treatment extraction of teeth.

TREATMENT OF TRANSPOSED AND IMPACTED MAXILLARY ANTERIOR REGION : A CASE REPORT (전위 매복된 상악 측절치와 상악 견치의 치험례)

  • Lee, Ki-Young;Choi, Hyung-Jun;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.4
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    • pp.630-635
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    • 1999
  • Transposition has been described as an interchange of position of permanent tooth and is a relatively rare dental anomaly. Transposition of teeth may occur both in the maxillary and mandibular arches. but it appears more often in the maxilla of individual teeth, the maxillary canine is the most often involved. A canine transposes most often with a first premolar and less frequently transposes with a lateral incisor. Incomplete transposition is a condition describing an interchange in the position of the crowns of two permanent teeth, while the root apices remain in their relative position. Complete transposition is a situation in which both the crowns and entire root structure are transposed. The etiologic factors of transposition are tooth buds interchange, retained deciduous canines, migration of the erupting canine, trauma to deciduous teeth etc. This report describes a case of a transposition between a maxillary left canine and a lateral incisor and impaction of a maxillary left central incisor due to trauma to deciduous dentition.

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A morphometric analysis of maxillary central incisor on the basis of facial appearance in Korea

  • Ku, Ji-Eun;Yang, Hong-So;Yun, Kwi-Dug
    • The Journal of Advanced Prosthodontics
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    • v.4 no.1
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    • pp.13-17
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    • 2012
  • PURPOSE. We aimed to identify a more esthetic width-to-length ratio by analyzing maxillary central incisor of Korean adult population. Information regarding tooth ratio in the Korean population may be useful to clinicians when restoring anterior teeth. MATERIALS AND METHODS. A total of 40 men and 40 women were included in this study. The NON-MEDIA group included 40 non-celebrities, who were healthy and 25 to 39 years old, with normal dentofacial appearance. The MEDIA group consisted of 40 celebrities selected only on the basis of their soft-tissue facial appearance. The facial photographs of 40 celebrities were collected from the Internet websites. The width and length of the maxillary central incisor were measured using Adobe $Photoshop^{(R)}$ 7.0, a software for analysis, measurement and edition of photographs. Data were analyzed statistically using the Independent t-test at 5% statistical significance level. RESULTS. The mean ratio for the MEDIA group was 0.77, whereas that of the NON-MEDIA group was 0.88. The difference between the two groups was statistically significant. No significant gender differences were found in the width-to-length ratio in MEDIA group. In NON-MEDIA group, however, there were significant differences between female and male. CONCLUSION. After analyzing maxillary anterior teeth of Korean adults, our results were in accordance with the general Western standards of esthetics. A dentist restoring the natural look and beauty of teeth will have to consider those standards.

Differences in the panoramic appearance of cleft alveolus patients with or without a cleft palate

  • Takeshi Fujii;Chiaki Kuwada;Yoshitaka Kise;Motoki Fukuda;Mizuho Mori;Masako Nishiyama;Michihito Nozawa;Munetaka Naitoh;Yoshiko Ariji;Eiichiro Ariji
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.25-31
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    • 2024
  • Purpose: The purpose of this study was to clarify the panoramic image differences of cleft alveolus patients with or without a cleft palate, with emphases on the visibility of the line formed by the junction between the nasal septum and nasal floor(the upper line) and the appearances of the maxillary lateral incisor. Materials and Methods: Panoramic radiographs of 238 patients with cleft alveolus were analyzed for the visibility of the upper line, including clear, obscure or invisible, and the appearances of the maxillary lateral incisor, regarding congenital absence, incomplete growth, delayed eruption and medial inclination. Differences in the distribution ratio of these visibility and appearances were verified between the patients with and without a cleft palate using the chi-square test. Results: There was a significant difference in the visibility distribution of the upper line between the patients with and without a cleft palate (p<0.05). In most of the patients with a cleft palate, the upper line was not observed. In the unilateral cleft alveolus patients, the medial inclination of the maxillary lateral incisor was more frequently observed in patients with a cleft palate than in patients without a cleft palate. Conclusion: Two differences were identified in panoramic appearances. The first was the disappearance (invisible appearance) of the upper line in patients with a cleft palate, and the second was a change in the medial inclination on the affected side maxillary lateral incisor in unilateral cleft alveolus patients with a cleft palate.

ORTHODONTIC TREATMENT OF ECTOPIC MAXILLARY CENTRAL INCISOR IN A CEREBRAL PALSY PATIENT (뇌병변 장애 환자에서 상악 중절치 이소맹출의 교정적 치험례)

  • Jang, Seok Hun;Nam, Ok Hyung;Lee, Hyo-Seol;Kim, Kwang Chul;Choi, Sung Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.72-75
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    • 2015
  • Cerebral palsy is one of the most common disabilities of childhood, which affects movement and co-ordination. Individuals with cerebral palsy are susceptible to traumatic dental injuries. High occurrence of Class II malocclusion with prominent maxillary incisors appears to increase risk of trauma. However, due to fear of behavior management and lack of cooperation, clinicians have avoided orthodontic treatment in cerebral palsy patients. This case report demonstrates that modified rapid maxillary expansion can be used as a simple and effective method to correct ectopic eruption of maxillary incisor in cerebral palsy patient.

Timing for Removal of Mesiodens in Relation to the Maxillary Cental Incisors (과잉치 발거시기에 따른 상악 중절치의 위치 변화)

  • Park, Kibong;Lee, Daewoo;Kim, Jaehwan;Yang, Yeonmi;Kim, Jaegon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.3
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    • pp.246-253
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    • 2016
  • The optimal time for the removal of supernumerary teeth can be divided into two groups; early removal and late removal. While each group has its own advantages, the effects on maxillary central incisor can be significant. The purpose of this study was to determine the ideal time for the removal of the supernumerary teeth by evaluating 166 patients for three months after surgical removal of supernumerary teeth. Relatively young patients in early Hellman's dental stage with less developed or unerupted maxillary central incisor had less midline deviation. No statistical significance was found in diastema, rotation of the maxillary incisors and their changes during a follow-up period. Removal of supernumerary teeth should be considered as a preventative measure prior to eruption of the maxillary incisors when the midline deviation is observed in panoramic radiographic examination. This study will be useful in determining the optimal time for the removal of supernumerary teeth depending on the location of the maxillary incisors. This study will be informative on deciding the optimal time to remove the supernumerary teeth depending on the various positions of the maxillary central incisor. (this sentence is better to use)